Suspected meningococcal disease prior to admission into secondary care (Antimicrobial)

Warning Warning: This guideline is 585 day(s) past its review date.
Author is aware that the guidance on TAM is due for review and plans to review this at the next AMT meeting. The guidance can continue to be used in this interim period.  If you have any queries, please contact the guideline author/reviewer.

For glossary of terms see Glossary.

Drug details

IV or IM Benzylpenicillin

Adults and children 10 years and over: 1200mg
Children 1 to 9 years: 600mg
Children ​under 1 year: 300mg

Give IM if vein cannot be found

OR IV or IM Ceftriaxone

Adults and children 50kg and over: 2 grams
Child under 50kg: 80mg/kg

Give IM if vein cannot be found

OR IV or IM Cefotaxime

Adults: 2 gram
Children 12 to 17 years: 1 gram
Children 1 month to 11 years: 50mg/kg

Give IM if vein cannot be found

Administer intramuscular doses above 1 gram over more than one site 

Penicillin/cephalosporin anaphylaxis

Await admission to hospital before administering antibiotics - contact infection specialist.

Editorial Information

Last reviewed: 27/08/2020

Next review date: 27/08/2023

Author(s): Antimicrobial management team.

Approved By: TAM Subgroup of ADTC

Reviewer name(s): Alison Macdonald, Area Antimicrobial Pharmacist.

Document Id: AMT144